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Can organizational justice help the retention of general practitioners?

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  • Heponiemi, Tarja
  • Manderbacka, Kristiina
  • Vänskä, Jukka
  • Elovainio, Marko

Abstract

In many countries, public sector has major difficulties in recruiting and retaining physicians to work as general practitioners (GPs). We examined the effects of taking up a public sector GP position and leaving public sector GP work on the changes of job satisfaction, job involvement and turnover intentions. In addition, we examined whether organizational justice in the new position would moderate these associations. This was a four-year prospective questionnaire study including two measurements among 1581 (948 women, 60%) Finnish physicians. A change to work as a public GP was associated with a substantial decrease in job satisfaction and job involvement when new GPs experienced that their primary care organization was unfair. However, high organizational justice was able to buffer against these negative effects. Those who changed to work as public GPs had 2.8 times and those who stayed as public GPs had 1.6 times higher likelihood of having turnover intentions compared to those who worked in other positions. Organizational justice was not able to buffer against this effect. Primary care organizations should pay more attention to their GPs – especially to newcomers – and to the fairness how management behaves towards employees, how processes are determined, and how rewards are distributed.

Suggested Citation

  • Heponiemi, Tarja & Manderbacka, Kristiina & Vänskä, Jukka & Elovainio, Marko, 2013. "Can organizational justice help the retention of general practitioners?," Health Policy, Elsevier, vol. 110(1), pages 22-28.
    • Handle: RePEc:eee:hepoli:v:110:y:2013:i:1:p:22-28
    DOI: 10.1016/j.healthpol.2013.02.001
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    References listed on IDEAS

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    1. Kankaanranta, Terhi & Nummi, Tapio & Vainiomaki, Jari & Halila, Hannu & Hyppola, Harri & Isokoski, Mauri & Kujala, Santero & Kumpusalo, Esko & Mattila, Kari & Virjo, Irma & Vanska, Jukka & Rissanen, P, 2007. "The role of job satisfaction, job dissatisfaction and demographic factors on physicians' intentions to switch work sector from public to private," Health Policy, Elsevier, vol. 83(1), pages 50-64, September.
    2. Elovainio, M. & Kivimäki, M. & Vahtera, J., 2002. "Organizational justice: Evidence of a new psychosocial predictor of health," American Journal of Public Health, American Public Health Association, vol. 92(1), pages 105-108.
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    1. Aalto, Anna-Mari & Heponiemi, Tarja & Väänänen, Ari & Bergbom, Barbara & Sinervo, Timo & Elovainio, Marko, 2014. "Is working in culturally diverse working environment associated with physicians’ work-related well-being? A cross-sectional survey study among Finnish physicians," Health Policy, Elsevier, vol. 117(2), pages 187-194.
    2. HakemZadeh, Farimah & Sayin, Firat K. & Neiterman, Elena & Zeytinoglu, Isik Urla & Geraci, Johanna & Plenderleith, Jennifer & Lobb, Derek, 2021. "Does an alignment of employment policies and individual preferences affect intention to stay in the profession? Evidence from Canadian Midwives," Health Policy, Elsevier, vol. 125(4), pages 450-458.
    3. Aarushi Bhatnagar & Shivam Gupta & Olakunle Alonge & Asha S. George, 2017. "Primary health care workers' views of motivating factors at individual, community and organizational levels: a qualitative study from Nasarawa and Ondo states, Nigeria," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(2), pages 217-233, April.

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